Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $122.32 / $225.50 / $225.50	Facility	26	$122.32	$225.50	$225.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $299.11 / $460.90 / $554.66	Professional		$299.11	$460.90	$554.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.03 / $91.03 / $189.50	Professional	26	$78.03	$91.03	$189.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.97 / $282.73 / $584.89	Professional		$252.97	$282.73	$584.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.92 / $79.26 / $161.24	Professional	26	$70.92	$79.26	$161.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,118.13 / $1,118.13 / $1,241.22	Professional		$1,118.13	$1,118.13	$1,241.22
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $494.81 / $494.81 / $663.62	Professional	26	$494.81	$494.81	$663.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $483.02 / $556.21 / $723.95	Professional		$483.02	$556.21	$723.95
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $135.04 / $155.50 / $181.68	Professional	26	$135.04	$155.50	$181.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $152.59 / $418.86	Professional		$32.34	$152.59	$418.86
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $346.39 / $346.39 / $346.39	Facility	26	$346.39	$346.39	$346.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $503.43 / $626.09 / $723.95	Professional		$503.43	$626.09	$723.95
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $146.15 / $171.94 / $207.29	Professional	26	$146.15	$171.94	$207.29
United Facility/Professional Professional Modifier Low / Median / High Price $283.45 / $378.28 / $752.85	Professional		$283.45	$378.28	$752.85
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.65 / $91.67 / $180.61	Professional	26	$74.65	$91.67	$180.61